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FEC Form 1 for American Academy of Otolaryngology-Head and Neck Surgery ENT PACForm 1 for American Academy of Otolaryngology-Head and Neck Surgery ENT PAC

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-407280


1. American Academy of Otolaryngology-Head and Neck Surgery ENT PAC

    1650 Diagonal Road
    Alexandria, VA 22314

    NOTE: Address is different than previously reported

    Email: ENTPAC@entnet.org

2. Date: 03/12/2009

3. FEC Committee ID #: C00306449 This committee is a separate segregated fund. Its connected organization is a Membership Organization
     In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Committee ID# C00306449
American Academy of Otolaryngology-Head and Neck Surgery
1650 Diagonal Road
Alexandria, Virginia 22314
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Tom Harlow
1650 Diagonal Road
Alexandria, VA 22314
Title: CFO

Treasurer:

Tom Harlow
1650 Diagonal Road
Alexandria, Virginia 22314
Title: Chief Financial Offi
Phone # (703) 836-4444

Designated Agent(s):

Banks or Depositories

National Capital Bank of Washington
316 Pennsylvania Ave, SE
Washington, DC 20003

Signed: Tom Harlow
Date Signed: 03/12/2009

(End FEC FORM 1)


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